Test 2: Wk7: 1 Tubular transport of glucose/phosphate/urea/organic - Mangiarua Flashcards
many transporter are —
not specific and transport a variety of similar subatances
most organic solutes are transported only in
proximal tubule
— charged organic solutes enter the cell via symporters with Na
neutral/ negative
— enter via uniporters driven by the negative membrane potential
cations
solutes move through a variety of pathways across the opposite membrane from which they entered in favor of — or couple via a —
chemical gradient, antiporter
glucose is filtered where
freely at glomerulus
glucose is taken up across the apical membrane by — and — and leaves across the basolateral membrane via —
SLGT2 and SGLT1; glucose uniporters GLUT
all filtered glucose is
reabsorbed
transport maximum for glucose Tm
375 mg/min
Glucose first appears in the urine at the
plasma threshold for glucose
true plasma threshold for glucose is
180-200 mg/ 100ml
splay
Glucose appears in the urine prior to complete saturation of tubular reabsorptive capacity
4 key characteristics of glucose transport
(1) threshold,
2) saturation (Tm),
(3) splay
(4) clearance approaching GFR at infinite plasma concentrations
Glucose is reabsorbed by the same mechanism that reabsorbs
xylose, fructose and
galactose
⬆⬆⬆ Plasma Glucose conc. blocks all reabsorption of —
xylose
Renal glycosuria
glucose in urine as a result of a defective or missing transport
mechanism
TG = 0 or very low.
Diabetes mellitus glucosuria due to
lack of insulin
TG = OK
Pregnancy - glucosuria due to
⬆⬆⬆ GFR, glomerular hyperfiltration.
RBF may increase 40% in response to gestational hormones
TG = OK
clearance of amino acids
0
amino acids are — reabsorbed
actively reabsorbed
filtered loads of amino acids are normally —- than their Tm
much less